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1265015036
BREANNA C LUCYKANISH
CHAMBERSBURG, PA
NPI
1265015036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP008525)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
BREANNA C LUCYKANISH
2011 SCOTLAND AVE
CHAMBERSBURG, PA 17201-1451
Phone number: 717-262-2000
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Mailing Address
BREANNA C LUCYKANISH
2202 CRIDERS CHURCH RD
CHAMBERSBURG, PA 17202-8055
Phone number: 717-635-1134
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